Inspection on 09/01/08 for Park House

This inspection was carried out on 9th January 2008.

CSCI found this care home to be providing an Excellent service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Similar services:

Huntercombe Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Park House 72 Bewick Road Gateshead Tyne & Wear NE8 1RS Lead Inspector Mr Lee Bennett Unannounced Inspection 9 10 and 24 January 2008 10:30 th th th Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Address 72 Bewick Road Gateshead Tyne & Wear NE8 1RS 0191 443 0055 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Aspire Healthcare Ltd Mr Steven McDermott Care Home 7 Category(ies) of Past or present alcohol dependence (2), Mental registration, with number disorder, excluding learning disability or of places dementia (7) Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The ergistered person may provide the following category of service only: Care Home only - code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 7 Past or present alcohol dependence - Code A - maximum number of places 2 The maximum number of service users who can be accommodated is: 7 2. Date of last inspection Brief Description of the Service: Park House is care home, providing personal care for up to 7 people with a mental health need. Some people have needs related to long-term alcohol use. Nursing care is not provided, but District and Psychiatric Nursing services can be arranged where necessary. It is an adapted, terraced care home with accommodation provided over three floors. The ground floor is on a split level, with the first and second floors accessed by a flight of stairs, so the home would not be suitable for a person with a physical disability, or ho needs a wheel-chair to help get around. There is a small garden to the front, and an enclosed yard to the rear of the home. The home is situated within walking distance of central Gateshead, and is near to local public transport links and a wide range of local facilities, including a health centre, a library, shops, pubs and places of worship. There is also a leisure centre, swimming pool and theatre located a short walk away. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. Before the visit: We looked at: • Information we have received since the last visit in May 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on the 9th January 2008. An announced visit was made on 10th and 24th January 2008. During the visit we: • Talked with people who use the service, staff and the manager. • Observed life in the home. • Looked at information about the people who use the service & how well their needs are met. • Looked at other records, which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked what improvements had been made since the last visit. After the visit: We looked at document sent to us by the owner that were requested and amended as part of this inspection. We told the manager, and the owner what we had found. What the service does well: A user led ethos in the home has encouraged the people living here to be involved in the running of the home, encouraging self-confidence, the promotion of their views and enabling increasing community involvement. Service users are enabled to make their views known, and these are acted upon. Equal opportunities are promoted. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 6 Service users are also involved in the planning of their own care, and they are aware of the content of their care plans. Staff complete these in a clear way, and an excellent level of recording is apparent. Progress records are clear, unambiguous and relate to each persons’ needs. Medication arrangements are properly dealt with, and independence in this area is encouraged and supported. The service is well managed, and there is an enthusiastic and confident staff team. Service users made positive comments about the care they receive, including; • • • “I’m happy here.” “I’m going to college.” (With the help of staff) “I’m keeping my drinking under control.” What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Before coming here people are given the information they need and have their individual needs and aspirations assessed. This is so they know their particular needs and wishes can be met here. EVIDENCE: Before receiving a care service, each person is entitled to have their needs looked at by a social worker or health worker. This is called an assessment. For every person who has moved here the registered manager has obtained a care manager’s (social worker’s) assessment prior to their admission. Before coming here people can also make a visit, meet the manager, staff and other people living here and look around the home. From the care assessment an interim care plan is developed, and later a more comprehensive plan of care written up. At regular intervals people have their needs re-assessed to make sure the home and it’s staff can still meet their needs. The evidence outlined within service users’ care plans and their progress notes, along with the Inspector’s observations, indicated that the service is able to meet their needs. Overall, those service users present, including one whose needs were case tracked, appeared content with the Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 9 service being provided, and made positive comments about the care and support they receive here. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All of the people living here have clear, concise and accurate care plans and risk assessments in place. Effective care planning can offer guidance to care staff regarding care practice and ensure consistency where necessary. Good risk assessment can help promote independences, whilst maintaining safety. EVIDENCE: Each person living here has their own personalised care plan file. This is developed by their key worker (a member of staff who helps a person plan their care) and covers a broad range of need areas. These are linked to regular monitoring of their identified needs and are then periodically reviewed and subsequently updated. Summary information, in the form of an assessment, has been developed, to offer an overview of each service user and their needs. Individual care plans are then developed to guide the practice of staff. This documentation highlights each service users’ abilities, strengths, and preferences, as well as areas of need. Staff are also able to comment on and describe service users’ strengths, abilities and needs. Service users are Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 11 able to access their care plans and sign these to show they have been involved. Service users are also encouraged to make decisions regarding their care, and the running of the home, though the care planning process, regular house meetings (house forums) and through the use of suggestions forms. Closely linked to care planning arrangements are risk assessments. Again, these have been developed by key workers. Areas of risk (such as those relating to the self administration of medication) are documented within the case tracked service users’ care files. Each identified risk area has an assessment that records who or what may be harmed, current and additional control measures, and periodic reviews. Risk assessments relate to activities and risks that may occur both outside and within the home, and relate to the activities undertaken by service users and the equipment available in the home. The aim of the risk assessment process is to promote service users’ independence and to allow them to maintain or develop their skills. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living here are encouraged and motivated by the staff to lead active and fulfilling lifestyles by having a regular community presence, by accessing a range of community facilities and by keeping in touch with family and friends. This will assist in them leading a full and enjoyable life. EVIDENCE: On the day of the inspection service user were engaged in a range of activities including, attended a local day service, being supported to go shopping, watching TV and playing music. A broad range of activities, both within and outside of the home are also promoted, and two service users benefit from the input of ‘outreach’ workers. Service users access community facilities both independently and with staff support, such as music events, clubs, pubs and trips to local places of interest. One person has recently completed a college course and told the inspector “I’m going to college to do art and music. I’ve already passed a cooking course and the ‘partners in learning’. I’ve also done Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 13 arts and drama.” A monthly programme of events, activities and occupation is planned and the home employs a worker specifically to help in this area, with each activity evaluated by service users and staff. As well as going out and about, contact with friends and relatives can affect the quality of life enjoyed by people. A variety of relationships exist within and beyond the home. These are detailed within each person’s care plan. If there are any concerns or needs in this area, plans of care have been developed to guide staffs’ practice, and if necessary the help and advice of other professionals sought. Staff are able to provide, and signpost service users, on related health issues. The people here commented on their family contacts, and stated they are helped to keep in touch. To further help to protect and promote peoples rights and lifestyle choices staff have received training on equal opportunities. The varied cultural preferences and needs and backgrounds of service users are acknowledged and acted upon by the team, so, for example, religious preferences are respected in discussions, and service users can attend religious venues of their choice. The rights and obligations of service users are, in part, expressed and outlined within their residency agreement, which has been updated to reflect the change in ownership here. Service users are also able to voice their opinions and views formally through care planning reviews and the house forums, and can exercise independence and control in the planning and evaluation of activities. Meal times are an important element of the daily routine, and where people have particular dietary needs and preferences these are outlined within their care plans. A choice menu is operated and a record kept of the meals planned and provided. Meals are normally taken within the dining room, but service users can eat their meals elsewhere in the home if they wish. Service users are encouraged to be involved in meal preparation and related tasks. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Peoples’ personal and healthcare needs are well supported. Their choices, privacy and dignity is respected. This means that their health and welfare is maintained. EVIDENCE: The people living at Park House have their personal care needs outlined within their case files. Their needs are supported and met, where appropriate, in private, and they are encouraged to cater for their own needs where possible. Specialist support and the input of other care professionals is sought where necessary, and care staff are able to demonstrate a good understanding of service users’ needs. Some people are here to help get their levels of drinking moderated. In reflecting on how successful the service had been in helping him, one person said that with the help of staff “I’m keeping my drinking under control.” Staff working in the home are able to provide personal support to service users in a flexible and responsive manner and will assist service users to access Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 15 health care in a prompt way, particularly if there are any concerns about a person’s health. Each persons’ health needs are identified through assessments and these are monitored where appropriate. A record of contact with healthcare professionals is maintained within each service users personal records, which helps to make sure each person has received the health care they need. Linked to these health and personal care arrangements, is the support given with medication. Locked storage has been installed for service users’ medications, with internal and external medicines stored separately from one another. Printed administration records are kept, and a sample signature list is maintained to identify which staff members were responsible for each medication administration. Staff at the home have undergone training in relation to medication administration and were observed by the inspector to follow good hygiene practice. The manager will highlight good practice, as well as areas for improvement, to his staff team. This is so they adopt good and safe ways of working, as well as keeping service users informed about the care they receive. An audit of the case tracked service users medications was concluded successfully. One service user takes possession of his medication by placing these within a compliance aid (dosset box). This is undertaken in reference to a risk assessment and helps promote his independence. Information on the specific medications used by the people here has been obtained, and staff discuss these medications to raise awareness of their purpose, side effects, and so on. A weekly stock audit is undertaken. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear systems support people using the service to express their views and ensure they are listened to and acted upon. They also help ensure that service users are protected from abuse, neglect and self-harm. EVIDENCE: A complaints procedure is available within the home, and informs service users that they can contact the Commission if they wish regarding complaints. A record of complaints and suggestions is maintained. and each is by the registered manager responded to the complainant in writing. The outcome and action taken is documented. No complaints have been referred to the Commission since the last inspection. Staff have received training from the local Adult Protection Co-ordinator in the past. This was to help explain the role of adult protection, and to offer guidance to staff. The care provider has adult protection procedures, which are available in the home, should staff need guidance in this area. The local authority’s procedures are also available. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from well maintained, homely, safe and clean accommodation. This can help promote a positive image for service users, and ensure they remain comfortable and safe. EVIDENCE: Park House is an adapted terraced property, and provides accommodation across three floors. Access into the home and between the floors is by stairs, making the home unsuitable for service users with a physical disability. Communal areas consist of a dining area, and a lounge, which is the designated smoking area. Domestic style furnishings and fittings are provided, bedrooms have been decorated and furnished in a domestic manner also, and a regular, planned cycle of cleaning is implemented. The registered manager and new owner have outline plans to further develop the service, and to improve the layout of some bedroom accommodation. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 18 Although some rooms may loose some space to allow extra facilities (such as en-suits) to be provided, this is balanced with a small, odd shaped room being enlarged and improved.. Should these works be progressed plans will need to be submitted to the Commission for consultation. Also if an extra room is added this will need to comply with the space standards for new builds and extensions. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported by an effective, competent and safely recruited staff team which, ensures that service users are supported in a safe manner by staff who have an understanding of their needs. EVIDENCE: Before a member of staff starts working here they are subject to a range of pre employment checks, including the receipt of two written references and a satisfactory Criminal Records Bureau disclosure. The recruitment of staff is also subject to the provider’s equal opportunities policy. Once recruited staff receive a broad range of training, relevant to the needs of service users, including those whose needs were case tracked. Training in relation to health and safety, and to care in general are also arranged. Topics covered have included schizophrenia awareness, substance abuse, care planning, health and safety, and a residential weekend. The manager has received training such as staff supervision, managing people, complaints and suggestions and recruitment. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 20 There has been some staffing turnover, which has affected the overall numbers of NVQ qualified staff, which remains less than 50 of the whole team. However those members of the team not yet qualified continue to work to attain the award, and new starters have been enrolled on relevant courses of study. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well managed home, where the quality and health and safety matters are regularly checked. This can help ensure the service remains focused on their needs and aspirations and that people remain safe. EVIDENCE: The home’s manager has completed his ‘registered managers award’ at NVQ level 4, and also accesses in house training courses. The manager is experienced in working within care settings for people with mental health needs. He is to commence an NVQ in care at level 4 in September. The manager and his deputy have developed a quality assurance file, which incorporates a range of audits, focusing on areas such as medication, care planning, service users’ monies, and safety aspects of the home. The ‘house Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 22 forum’ meetings act as a means of obtaining service users’ views, and also act as a means of quality assurance. At the time of the inspection, policies, procedures and practices relating to health and safety matters appeared to be satisfactory, and there were no observed hazards. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 4 X 3 X 3 X X 3 X Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA35 Good Practice Recommendations The drug and alcohol national occupational standards (DANOS) should be used to help develop the framework of staff training and competency. This is to help further ensure the needs of those service users who have used alcohol and substances are clearly recognised, assessed and addressed. Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Park House DS0000070925.V356934.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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